1. Center of Occupational Health & Education (COHE) Provider Orientation – Part II

2. Topics  Introduction  What is a COHE?  Why health care providers Participate  How your COHE is organized  COHE’s future  Occupational health best practices –Process –Report of Accident (ROA)  COHE provider resources

3. Best Practice Development Process 1. Literature Review (broad focus) 2. Expert Review 3. Recommended Best Practices 4. Implementation (COHEs) 5. COHE Quality Improvement Process

4. Current Best Practices Report of Accident (ROA) submitted to L&I in 2 business days Activity Prescription Form (APF) when a worker has restrictions, cannot return to full-duty, or will be claiming time-loss Provider contact with the employer Barriers to recovery assessment

5. Report Of Accident (ROA)  Purpose: –Allows a worker to access medical and lost work benefits –Allows the health care provider to be paid for their services  Focus on timeliness and completeness –ROA to L&I within 2 business days

8. Left wrist sprain 8 4 2. 0 0

9. Left wrist sprain 8 4 2. 0 0

10. Left wrist sprain 8 4 2. 0 0 08 01 2011

11. Left wrist sprain 8 4 2. 0 0 08 01 2011

12. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960

13. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960

14. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling.

15. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling.

16. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling. X-Ray of wrist

17. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling. X-Ray of wrist

18. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling. X-Ray of wrist

19. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling. X-Ray of wrist

20. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling. X-Ray of wrist 5

21. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling. X-Ray of wrist 5

22. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling. X-Ray of wrist 5

23. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling. X-Ray of wrist 5

24. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling. X-Ray of wrist 5 David Johnson, MD 509 555-0000

25. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling. X-Ray of wrist 5 David Johnson, MD 509 555-0000

26. Left wrist sprain 8 4 2. 0 0 08 01 2011 Smith07041960 No ROM in left wrist. Some swelling. X-Ray of wrist 5 David Johnson, MD 509 555-0000 Anywhere Clinic 509 222-1111 Provider Signature 8 01 2011 111222 Paul Jones, MD 509 222-1111 111 Main Street Yakima WA 99000

27. Report Of Accident (ROA)  Purpose: –Allows a worker to access medical and lost work benefits –Allows the health care provider to be paid for their services  Focus on timeliness and completeness –ROA to L&I within 2 business days  Clinic/department processes

28. Introduction to COHEs, Part II Questions 1.The COHE Best Practice process includes: a.Literature review b.Surveys c.Conferences d.Lab work 2.The health care provider section of the ROA includes a box for: a.1 st medical visit b.Diagnosis description and code c.Injury date d.Treatment Plan e.a, b, and d f.a, c, and d